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General NPI Number Information
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NPI Number | 1578067914
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Entity Type | Individual
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Provider Name | BLANCHE MARIE TORRES
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | PP14 CALLE 5 URB CANA
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City | BAYAMON
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-998-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 CHALETS DE BAYAMON
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-662-1749
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 5095
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License Number State | PR
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